Gregory D Blackmon

M.D. | Pediatrics | Male

Gregory D Blackmon, M.D. is a Powell, Tennessee based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Gregory D Blackmon is 7714 Conner Rd, Suite 101, Powell, Tennessee - 37849-3559. He can be contacted on phone at 865-212-6350 and fax number 865-212-6350. Gregory D Blackmon is a sole proprietor of his business.
NPI number (Unique professional ID) for Gregory D Blackmon is 1609898865 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 09 Jul, 2007. Gregory D Blackmon license number is 28729 for Pediatrics (208000000X) in Tennessee.
Gregory D Blackmon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gregory D Blackmon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Gregory D Blackmon
Credential :M.D.
Gender :Male
Business Address:
Gregory D Blackmon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :7714 Conner Rd, Suite 101
Powell, TN, 37849-3559
United States
Phone Number :865-212-6350
Fax Number :865-212-6350
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1609898865
NPI Entity Type : Individual
First Enrolment Date : 24 Jul, 2006
Last Updated On : 09 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregory D Blackmon are as mentioned. Primary taxonomy code for Gregory D Blackmon, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes28729TN
Legacy Identifiers:
Other legacy medical identifiers of Gregory D Blackmon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
2MEDICAIDTN
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :7714 Conner Rd, Suite 101
Powell, TN, 37849-3559
United States
Phone Number :865-212-6350
Fax Number :865-212-6350
Business Location:
Patients can refer following map for directions to Gregory D Blackmon practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.